Provider Demographics
NPI:1790138238
Name:SEN H JONE,MD,INC
Entity Type:Organization
Organization Name:SEN H JONE,MD,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEN
Authorized Official - Middle Name:HSIUNG
Authorized Official - Last Name:JONE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:916-393-6727
Mailing Address - Street 1:779 SHORESIDE DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95831-1424
Mailing Address - Country:US
Mailing Address - Phone:916-429-9870
Mailing Address - Fax:
Practice Address - Street 1:2820 DEL PASO RD
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834-9504
Practice Address - Country:US
Practice Address - Phone:916-515-4481
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA38048251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare